Systematic review of change in bodily pain after sinus surgery

Alexander C. Chester, Raj Sindwani, Timothy Smith, Neil Bhattacharyya

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Objectives: To determine whether bodily pain is increased in patients with chronic rhinosinusitis (CRS) and if bodily pain improves following endoscopic sinus surgery (ESS). Methods: All studies reporting results of more than 10 adult patients analyzing the response of bodily pain to ESS were retrieved by searching MEDLINE, EMBASE, Web of Science, Cochrane databases, and additional web-based sources (from January 1, 1980, to May 1, 2008); by examining bibliographies of retrieved articles; and by contacting investigators in the field. Results: Of 279 ESS symptom outcome studies, only studies measuring results using the 36-Item Short Form Health Survey (SF-36) quality-of-life survey instrument measured bodily pain. Eleven observational ESS studies (1019 patients) reported mean preoperative SF-36 bodily pain scores at 0.89 SD below general population norms (24% more severe bodily pain than general population norms) and significantly below norms for a population 25 years older. Using a repeated-measures design, nine of 11 studies noted significant improvement in SF-36 bodily pain domain scores following ESS, with a moderate-sized combined effect of 0.55 (95% confidence interval, 0.45-0.64; I2 = 44%) using the fixed-effects model. This pooled effect corresponded to a mean improvement of 11.8 U on the SF-36 bodily pain domain scale. Conclusions: Bodily pain is increased in patients with CRS awaiting ESS, exceeding the normative bodily pain scores of a general normative population 25 years older. Using within-subject comparisons, a clinically and statistically significant improvement in bodily pain is noted after ESS, an improvement similar to that previously described for fatigue.

Original languageEnglish (US)
Pages (from-to)759-765
Number of pages7
JournalOtolaryngology - Head and Neck Surgery
Volume139
Issue number6
DOIs
StatePublished - Dec 2008

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Pain
Population
Bibliography
Health Surveys
MEDLINE
Fatigue
Quality of Life
Research Personnel
Outcome Assessment (Health Care)
Databases
Confidence Intervals

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Surgery

Cite this

Systematic review of change in bodily pain after sinus surgery. / Chester, Alexander C.; Sindwani, Raj; Smith, Timothy; Bhattacharyya, Neil.

In: Otolaryngology - Head and Neck Surgery, Vol. 139, No. 6, 12.2008, p. 759-765.

Research output: Contribution to journalArticle

Chester, Alexander C. ; Sindwani, Raj ; Smith, Timothy ; Bhattacharyya, Neil. / Systematic review of change in bodily pain after sinus surgery. In: Otolaryngology - Head and Neck Surgery. 2008 ; Vol. 139, No. 6. pp. 759-765.
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